POUCH,EAKIN,WOUND,FISTULA DRAINAGE C#8392-66 (28104)    VA PRODUCT (50.68)

Name Value
NAME POUCH,EAKIN,WOUND,FISTULA DRAINAGE C#8392-66
VA GENERIC NAME POUCH
DOSAGE FORM POUCH
NATIONAL FORMULARY NAME POUCH POUCH
CREATE DEFAULT POSSIBLE DOSAGE YES
CODING SYSTEM
  • RxNorm
    CODE:
COPAY TIER
  • COPAY TIER LEVEL:   0
    COPAY EFFECTIVE DATE:   2018-01-01 00:00:00
PGX ELIGIBLE NO
PGX SUPPRESSED NO
VA PRINT NAME POUCH,EAKIN,WOUND,FISTULA C#8392-66
VA PRODUCT IDENTIFIER XJ120
TRANSMIT TO CMOP NO
VA DISPENSE UNIT EA
MASTER ENTRY FOR VUID YES
VUID 4037077
EFFECTIVE DATE/TIME
  • 2017-11-21 00:00:00
    STATUS:   ACTIVE